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Medicaid Program Manager Jobs in Wisconsin (NOW HIRING)

Consumer Direct Care Network

Service Coordinator I

Wausau, WI · Hybrid

$21.25 - $26.75/hr

Maintain and coordinate a caseload of clients enrolled in Medicaid programs * Coordinate clients' in-home care needs in compliance with Federal/State Regulations, Managed Care Organization (MCO ...

Polk County, WI

Clinical Manager

Balsam Lake, WI · On-site

Follows treatment and service guidelines established by Wisconsin Medicaid, Medicare, regional HMOs ... Provides clinical supervision/oversight of all assigned programs. Marginal Duties and ...

Polk County (WI)

Clinical Manager

Balsam Lake, WI

$92K/yr

Follows treatment and service guidelines established by Wisconsin Medicaid, Medicare, regional HMOs ... Provides clinical supervision/oversight of all assigned programs. Marginal Duties and ...

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Medicaid Program Manager information

What are the main challenges Medicaid Program Managers face in coordinating between state agencies and healthcare providers?

Medicaid Program Managers often navigate the complexities of aligning policies and procedures between state agencies and a diverse range of healthcare providers. Challenges can include managing frequent regulatory changes, ensuring compliance with both federal and state guidelines, and facilitating clear communication among stakeholders. Additionally, they must address provider concerns, resolve billing or service disputes, and adapt program initiatives to meet evolving healthcare needs. Strong organizational and relationship-building skills are essential to succeed in this collaborative and dynamic environment.

What does a Medicaid Program Manager do?

A Medicaid Program Manager oversees the administration and implementation of Medicaid programs at the state or organizational level. Their responsibilities include ensuring compliance with federal and state regulations, managing budgets, coordinating with stakeholders, and improving service delivery for Medicaid recipients. They often analyze data, develop policies, and work to enhance program efficiency and effectiveness. This role requires strong leadership, organizational, and policy analysis skills to ensure that eligible populations receive proper healthcare services.

What are the key skills and qualifications needed to thrive as a Medicaid Program Manager, and why are they important?

To thrive as a Medicaid Program Manager, you need expertise in healthcare administration, knowledge of Medicaid regulations, and a relevant degree such as public health or healthcare management. Familiarity with Medicaid Management Information Systems (MMIS), data analytics tools, and compliance software is typically expected. Strong leadership, problem-solving, and communication skills enable effective team management and stakeholder engagement. These skills ensure efficient program operation, regulatory compliance, and the delivery of quality services to beneficiaries.
What are popular job titles related to Medicaid Program Manager jobs in Wisconsin? For Medicaid Program Manager jobs in Wisconsin, the most frequently searched job titles are:
What job categories do people searching Medicaid Program Manager jobs in Wisconsin look for? The top searched job categories for Medicaid Program Manager jobs in Wisconsin are:
What cities in Wisconsin are hiring for Medicaid Program Manager jobs? Cities in Wisconsin with the most Medicaid Program Manager job openings:
Medicaid Program Manager jobs near you
Infographic showing various Medicaid Program Manager job openings in Wisconsin as of August 2026, with employment types broken down into 83% Full Time, and 17% Part Time. Highlights an 92% In-person, and 8% Remote job distribution.

Service Coordinator I

Consumer Direct Care Network

Ladysmith, WI • Hybrid

$17.75 - $24.25/hr

Full-time

Posted 24 days ago

Consumer Direct Care Network rating

5.3

Company rating: 5.3 out of 10

Based on 46 frontline employees who took The Breakroom Quiz

190th of 239 rated social care providers

Job description

Description & Requirements
Culture Vision at Consumer Direct Care Network

At CDCN, we strive to create aworkplace where everyone issupported and motivated to betheir best; we collaborate onshared goals and celebrate ouraccomplishments.

WE WELCOME YOU INTO A GROWING COMPANY

Consumer Direct Care Network is all about caring for people. Care is at our core, and we strive to live up to it every day. We provide services in 14 states across the USA, and our programs grow every year. We specialize in home and community-based services that support individuals with disabilities and older adults so they can remain in their homes and communities.


JOB SUMMARY

Service/Program coordinators assist with daily intake and referral processes to set clients up for services, coordinating their in-home care needs in compliance with Federal/State Regulations and Managed Care Organization (MCO) program rules.  They maintain and coordinate a caseload of clients enrolled in Medicaid programs and conduct regular check-ins on clients to update care plans if that client's needs change.


JOB DUTIES

  • Maintain and coordinate a caseload of clients enrolled in Medicaid programs
  • Coordinate clients' in-home care needs in compliance with Federal/State Regulations, Managed Care Organization (MCO) program rules, and contract requirements
  • Assist with daily intake and referral processes to ensure positive business growth and development
  • Promote cohesiveness in the office environment
  • Support day-to-day operations and client advocacy
  • Ability to meet position requirements with little direct oversight
  • Collaborate with stakeholders regarding the delivery of services
  • Effective written and verbal communicator
  • Comply with applicable legal requirements, standards, policies, and procedures
  • Demonstrate dependability
  • Demonstrate effective problem-solving and decision-making skills
  • Exhibit computer efficiency
  • Handle complex service programs and special projects
  • Market services to referral sources as needed
  • Maintain necessary skills and knowledge to coordinate workflow
  • Participate in professional development and training activities
  • Prioritize and multitask effectively
  • Provide excellent customer service to internal and external clients
  • Represent the company at stakeholder meetings, health fairs, and provider fairs
  • Enroll clients and employees in services, web portal, and EVV systems as needed
  • Conduct necessary client assessments and home visits as required
  • Bilingual preferred in various locations
  • Answer and make phone calls and occasional video calls
  • Other duties as assigned


QUALIFICATIONS

  • Bachelor's degree in the field of Social Work, Psychology, Counseling, Rehabilitation, Nursing, Sociology or Related Field preferred
  • 1 year of previous experience working with individuals with disabilities or the elderly preferred
  • Combination of education and experience
  • Employees must provide their own reliable internet if working a remote/hybrid position

The incumbent typically works in an office environment and uses a computer, telephone and other office equipment as needed to perform duties. The noise level in the work environment is typical of that of an office. Incumbent may encounter frequent interruptions throughout the workday. The employee is regularly required to sit, talk, or hear; frequently required to use repetitive hand motion, handle or feel, and to stand, walk, reach, bend or lift up to 20 pounds.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

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